NR 509 Midterm
NR 509 Midterm Exam Questions with
Certified Solutions/ 240 Quizzes & Ans
(Advanced health assessment NR-509)
2024.
History-taking Pattern - Answer: Who is the patient? (JP is a 90 yo M...)
What brought you in today? (CC / presents with...)
Do you have any other symptoms or concerns?
*For each symptom, complete OLDCARTS
PMH, including surgical and OB/GYN
Allergies
, NR 509 Midterm
Medications
Family history
Personal/social history
ROS (yes/no then open ended if needed)
Problem Statement - Answer: Ms. Smith is a ____ yo M/F with a PMH of ____
who presents with _____(symptoms). Physical exam reveals ______. Risk factors
include _______.
HPI template - Answer: Chief complaint
Description of condition & associated symptoms
Pertinent negatives
Pertinent PMH/PFH/PSH
Concluding statement (how patient got to care site)
Focused assessment - Answer: specific concerns for a patient that is established
brief HPI and ROS specific to the concern
Comprehensive assessment - Answer: for new patients
establishes a baseline
, NR 509 Midterm
extended HPI, including PMH, allergies, medications, PFH, personal/SH and ROS
(10+ systems)
Objective data - Answer: physical exam
observations
labs
test results
Subjective data - Answer: history
symptoms patient feels
Clinical encounter sequelae (Calgary-Cambridge Guides) - Answer: 1. Initiate:
review record, rapport (including **preferred name and gender pronouns**) &
goals
2. Gather info: CC, patient story, HPI, ROS
3. Physical exam
4. Explain & plan: decisions with patient, teach-back
5. Close: questions? summarize plan
, NR 509 Midterm
Example of how to obtain patient's preferred name - Answer: Good morning, are
you Sarah Smith?
Yes.
How would you like me to address you?
Example of how to obtain patient's gender pronouns - Answer: Sarah, do you
prefer to be called by certain pronouns? For example, I use "she/her"
Questions to start patient encounter - Answer: Open-ended & invite patient to tell
story then get more specific after initial story is told
- What brings you in today?
- Any other symptoms?
- Tell me more about...
To get the patient's perspective on their illness, uses this acronym: ________ -
Answer: FIFE
Feelings (fears, concerns)
Ideas (what they think is the nature or cause of the problem)
NR 509 Midterm Exam Questions with
Certified Solutions/ 240 Quizzes & Ans
(Advanced health assessment NR-509)
2024.
History-taking Pattern - Answer: Who is the patient? (JP is a 90 yo M...)
What brought you in today? (CC / presents with...)
Do you have any other symptoms or concerns?
*For each symptom, complete OLDCARTS
PMH, including surgical and OB/GYN
Allergies
, NR 509 Midterm
Medications
Family history
Personal/social history
ROS (yes/no then open ended if needed)
Problem Statement - Answer: Ms. Smith is a ____ yo M/F with a PMH of ____
who presents with _____(symptoms). Physical exam reveals ______. Risk factors
include _______.
HPI template - Answer: Chief complaint
Description of condition & associated symptoms
Pertinent negatives
Pertinent PMH/PFH/PSH
Concluding statement (how patient got to care site)
Focused assessment - Answer: specific concerns for a patient that is established
brief HPI and ROS specific to the concern
Comprehensive assessment - Answer: for new patients
establishes a baseline
, NR 509 Midterm
extended HPI, including PMH, allergies, medications, PFH, personal/SH and ROS
(10+ systems)
Objective data - Answer: physical exam
observations
labs
test results
Subjective data - Answer: history
symptoms patient feels
Clinical encounter sequelae (Calgary-Cambridge Guides) - Answer: 1. Initiate:
review record, rapport (including **preferred name and gender pronouns**) &
goals
2. Gather info: CC, patient story, HPI, ROS
3. Physical exam
4. Explain & plan: decisions with patient, teach-back
5. Close: questions? summarize plan
, NR 509 Midterm
Example of how to obtain patient's preferred name - Answer: Good morning, are
you Sarah Smith?
Yes.
How would you like me to address you?
Example of how to obtain patient's gender pronouns - Answer: Sarah, do you
prefer to be called by certain pronouns? For example, I use "she/her"
Questions to start patient encounter - Answer: Open-ended & invite patient to tell
story then get more specific after initial story is told
- What brings you in today?
- Any other symptoms?
- Tell me more about...
To get the patient's perspective on their illness, uses this acronym: ________ -
Answer: FIFE
Feelings (fears, concerns)
Ideas (what they think is the nature or cause of the problem)
